0000872248-17-000082.txt : 20171114 0000872248-17-000082.hdr.sgml : 20171114 20171114160908 ACCESSION NUMBER: 0000872248-17-000082 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20171112 FILED AS OF DATE: 20171114 DATE AS OF CHANGE: 20171114 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: MIXON ART M III CENTRAL INDEX KEY: 0001133135 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32681 FILM NUMBER: 171201551 MAIL ADDRESS: STREET 1: 400 E KALISTE SALOOM RD STREET 2: STE 3000 CITY: LAFAYETTE STATE: LA ZIP: 70508 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: PETROQUEST ENERGY INC CENTRAL INDEX KEY: 0000872248 STANDARD INDUSTRIAL CLASSIFICATION: CRUDE PETROLEUM & NATURAL GAS [1311] IRS NUMBER: 721440714 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 400 E KALISTE SALOOM RD SUITE 6000 CITY: LAFAYETTE STATE: LA ZIP: 70508 BUSINESS PHONE: 3372327028 MAIL ADDRESS: STREET 1: 400 E KALISTE SALOOM RD SUITE 6000 CITY: LAFAYETTE STATE: LA ZIP: 70508 FORMER COMPANY: FORMER CONFORMED NAME: OPTIMA PETROLEUM CORP DATE OF NAME CHANGE: 19950726 4 1 wf-form4_151069359114132.xml FORM 4 X0306 4 2017-11-12 0 0000872248 PETROQUEST ENERGY INC PQ 0001133135 MIXON ART M III 400 E. KALISTE SALOOM RD. SUITE 6000 LAFAYETTE LA 70508 0 1 0 0 Exec VP - Operations and Prod Common Stock 2017-11-12 4 M 0 7998 0 A 130037 D Common Stock 2017-11-12 4 F 0 2668 1.85 D 127369 D Incentive stock option (right to buy) 1.85 2017-11-12 4 A 0 11299 0 A 2017-11-11 Common Stock 11299.0 11299 D Restricted Stock Units 2017-11-12 4 A 0 25422 0 A Common Stock 25422.0 25422 D Restricted Stock Units 2017-11-12 4 M 0 7998 0 A Common Stock 7998.0 0 D Vests with respect to 1/3 of the shares annually beginning on November 12, 2018. Each Restricted Stock Unit represents a contingent right to receive one share of PetroQuest common stock. One third of the Restricted Stock Units vest on each of the first, second and third anniversaries of the grant date. The applicable number of shares of PetroQuest common stock will be delivered to the reporting person on each such vesting date. On November 12, 2014 the reporting person was granted 23,994 Restricted Stock Units. One third of the Restricted Stock Units vested on each of the first, second and third aniversaries of the grant date. The applicable number of shares of PetroQuest common stock were delivered to the reporting person on each such vesting date. /s/ Arthur M. Mixon III 2017-11-13